What vascular pathology expected in this hypertensive patient? - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 06-03-2011
USMLE Forums Guru
 
Steps History: Not yet
Posts: 339
Threads: 94
Thanked 330 Times in 150 Posts
Reputation: 290
Sphygmomanometer What vascular pathology expected in this hypertensive patient?

A 41-year-old female presents with recurrent severe headaches and increasing visual problems. Physical examination reveals her blood pressure to be 220/150. Her symptoms are most likely to be associated with:

a. Medial calcific sclerosis
b. Arteriosclerosis obliterans
c. Hyperplastic arteriolosclerosis
d. Hyaline arteriolosclerosis
e. Thromboangiitis obliterans

Reply With Quote Quick reply to this message
The above post was thanked by:
amnios (06-03-2011), Chemole (06-03-2011), hassanahk (06-03-2011), star123 (06-03-2011)



  #2  
Old 06-03-2011
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,175
Threads: 38
Thanked 852 Times in 478 Posts
Reputation: 862
Default

I think by presuming she is premenopausal, she does not have hyperlipidemia, so I think typical artherosclerosis can be ruled out.

Due to the high BP, there definitely will be endothelial damage, so it will result in deposition of substance, my guess is hyaline material.

d. Hyaline arteriolosclerosis
Reply With Quote Quick reply to this message
  #3  
Old 06-03-2011
USMLE Forums Addict
 
Steps History: 1 + CK
Posts: 116
Threads: 7
Thanked 343 Times in 94 Posts
Reputation: 353
Default

She is having malignant hypertention which is associated with hyperplastic arteriolosclerosis. Benign hypertention is associated with hyaline arteriolosclerosis. Medial calcific sclerosis is associated with Old age.
Answer is C.
Reply With Quote Quick reply to this message
The above post was thanked by:
amnios (06-03-2011), m82_ghasemi (09-15-2011), patelMD (06-03-2011)
 
  #4  
Old 06-03-2011
USMLE Forums Addict
 
Steps History: Not yet
Posts: 140
Threads: 5
Thanked 118 Times in 66 Posts
Reputation: 128
Default

hmmm, am thinking malignant hypertension as well, with hyperplastic as the option though i would feel more comfortable having something to rule hyaline out with for sure..
Reply With Quote Quick reply to this message
  #5  
Old 06-03-2011
USMLE Forums Guru
 
Steps History: Not yet
Posts: 339
Threads: 94
Thanked 330 Times in 150 Posts
Reputation: 290
Default

answer is c
Reply With Quote Quick reply to this message
  #6  
Old 06-03-2011
bebix's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,357
Threads: 194
Thanked 3,261 Times in 881 Posts
Reputation: 3271
Default

too late....

yup Malignant hypertension => hyperplastic arteriolosclerosis
Reply With Quote Quick reply to this message
  #7  
Old 06-03-2011
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 149
Threads: 13
Thanked 46 Times in 34 Posts
Reputation: 56
Send a message via AIM to absolutjag9
Default

answer has to be hyperplastic arteriolosclerosis...the vignette does not mention anything about the woman being diabetic-the condition which is commonly associated with hyaline arteriolosclerosis. nor does it mention that she's a smoker and has ischemic limbs-that's thromboangitis obliterans aka buerger's disease. medial calcific sclerosis is also known as monckeberg's-which is a finding on old ppl at autopsy or when you try to palpate radial artery youll be able to really feel it-there are calcific deposits in the media NOT the intima so it's not a threat to lumen, unlike atherosclerosis. and arteriolosclerosis obliterans is peripheral vascular disease, so she'd be having diminished blood flow to extremities.
Reply With Quote Quick reply to this message
The above post was thanked by:
amnios (06-03-2011), drnirajmavani (06-04-2011), star123 (06-03-2011)
  #8  
Old 06-03-2011
bebix's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,357
Threads: 194
Thanked 3,261 Times in 881 Posts
Reputation: 3271
Default

Quote:
Originally Posted by earthpole View Post
answer is c
@absolutjag9....yup, is C)
Reply With Quote Quick reply to this message
  #9  
Old 06-03-2011
USMLE Forums Veteran
 
Steps History: ---
Posts: 253
Threads: 20
Thanked 43 Times in 39 Posts
Reputation: 53
Default

definitely its c
Reply With Quote Quick reply to this message



Reply

Tags
Cardiovascular-, Pathology-, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Transient Ischemic Attack, preventing recurrence in a hypertensive patient? docoftheworld USMLE Step 2 CK Forum 4 05-29-2011 07:51 PM
What to do with this hypertensive patient? Hohepa USMLE Step 2 CK Forum 8 05-24-2011 01:18 PM
Vascular Surgery for an IMG! SHICE IMG Residency Match Forum 8 05-14-2011 06:19 AM
Immunologic versus Vascular Phenomena in Bacterial Endocarditis dazzles USMLE Step 1 Forum 1 10-07-2010 01:00 AM
Calculating the Pulmonary Vascular Resistance! doctorF USMLE Step 1 Forum 3 07-12-2010 02:04 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)